- MyFlorida (Monticello, FL)
- …Identifies students at risk for pregnancy, STDs, substance abuse, and social and behavioral health issues. Refers those students in need of further care. + ... Report. Completes internal monthly Leadership Reports and quarterly Performance Management Worksheet. Completes additional reporting as specified by supervisor or… more
- CenterWell (Tallahassee, FL)
- …**Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review ... work, communication of decisions to internal associates, participation in care management and possible participation in care facilitation with hospitals. The… more
- CenterWell (Daytona Beach, FL)
- …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
- AdventHealth (Altamonte Springs, FL)
- …and aim to increase quality, increase patient satisfaction and reduce unnecessary utilization of health care resources. AdventHealth Senior Care is creating a new ... for social work practice and supporting the Social Work Manager /Senior Manager /Director of Suppor and Services. The...the subject matter expert for the members psychosocial and behavioral health needs. The Social Worker also contributes to… more
- HCA Healthcare (Tamarac, FL)
- … + experience or 2 years of critical care experience Certification in case management or utilization review preferred + InterQual experience preferred Founded in ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Miami, FL)
- …of Physician Services I with HCA Florida Miami Electrophysiology, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Florida Miami ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Gainesville, FL)
- …for education, accountability, elevation of professionalism in partnership with Director and Manager of Case Management . + Communicates potential/actual need for ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...is to ensure that primary operations of the Case Management Department function efficiently. This position maintains a caseload… more
- Highmark Health (Tallahassee, FL)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- HCA Healthcare (Gainesville, FL)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... is responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients in which they serve. The… more
- ChenMed (Margate, FL)
- …to patient panel as a PCP. + Directs accountability for clinical outcomes and day-to-day management of PCPs in one (1) center in the market, with regular presence in ... the center under direct management , and under the supervision of the MCMO. +...referrals and provides back-up for market referral and delegated utilization authorizations. + Leads physician meetings, training and education… more